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吴 迎, 左 谦, 罗 薇, 王 慧, 皮 大, 陈 前, 陈 利, 林 丽, 欧阳 明. [ Yifei Sanjie Pills alleviates cancer-related skeletal muscle atrophy in mice possibly by lowering inflammatory insulin resistance]. Nan Fang Yi Ke Da Xue Xue Bao 2023; 43:1839-1849. [PMID: 38081600 PMCID: PMC10713459 DOI: 10.12122/j.issn.1673-4254.2023.11.02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 07/22/2023] [Indexed: 12/18/2023]
Abstract
OBJECTIVE To evaluate the effects of Yifei Sanjie Pills (YFSJ) on weight, strength, pathology, glycogen and lipid contents and metabolism of skeletal muscles in tumor-bearing mice and explore the therapeutic mechanism of YFSJ for cancer-related skeletal muscle atrophy. METHODS Sixteen female ICR mice bearing intraperitoneal Lewis lung adenocarcinoma xenografts were randomized into model group and YFSJ treatment group (daily dose of 4 g/kg for 21 days, n=8), with another 8 normal mice as the normal control group. The changes in body weight and gastrocnemius muscle weight of the mice were recorded. Liquid chromatography-mass spectrometry (LC-MS) was used to analyze the drug components in YFSJ entering the blood. Enzyme-linked immunosorbent assay was used to detect serum blood glucose and insulin concentrations and inflammatory cytokine levels in the serum and gastrocnemius. RNA-seq was performed to analyze the signaling pathways involved in the pathologies of the gastrocnemius muscle, and lipid contents in the muscle were observed using Oil red O staining. Adenosine triphosphatase staining was used to assess the metabolic intensity of the gastrocnemius muscle, and inflammatory cell infiltration and P-AKT level were evaluated using immunohistochemical staining; the contents of creatine kinase, lactate dehydrogenase and myoglobin in the gastrocnemius muscle were also detected. RESULTS Treatment with YFSJ significantly increased skeletal muscle strength and gastrocnemius muscle weight (P < 0.001) and reduced the levels of gastrocnemius muscle injury markers in the tumor-bearing mice (P < 0.01). RNA-seq and LC-MS showed that YFSJ alleviated gastrocnemius muscle injury in the tumor-bearing mice possibly by improving inflammatory infiltration, insulin resistance and lipid metabolism (P < 0.05). YFSJ lowered inflammatory cytokine levels in both the serum and gastrocnemius muscle (P < 0.05), reduced pro-inflammatory cell infiltration, increased P-AKT level, and improved glycogen and lipid contents and metabolic levels in the gastrocnemius muscle. CONCLUSION YFSJ alleviates cancer-related skeletal muscle atrophy possibly by reducing inflammatory insulin resistance.
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Affiliation(s)
- 迎朝 吴
- 广州中医药大学第二临床医学院,广东 广州 510405Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510405, China
- 广州中医药大学第二附属医院中医证候全国重点实验室,广东 广州 510120State Key Laboratory of Traditional Chinese Medicine Syndrome, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510120, China
- 广东省中医院乳腺科,广东 广州 510120Department of Breast, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, China
- 广东省中医药科学院,广东 广州 510120Guangdong Academy of Traditional Chinese Medicine, Guangzhou 510120, China
- 暨南大学中医学院,广东 广州 510632College of Traditional Chinese Medicine, Jinan University, Guangzhou 510632, China
| | - 谦 左
- 广州中医药大学第二附属医院中医证候全国重点实验室,广东 广州 510120State Key Laboratory of Traditional Chinese Medicine Syndrome, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510120, China
- 广东省中医院乳腺科,广东 广州 510120Department of Breast, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, China
- 广东省中医药科学院,广东 广州 510120Guangdong Academy of Traditional Chinese Medicine, Guangzhou 510120, China
| | - 薇 罗
- 广州中医药大学第二临床医学院,广东 广州 510405Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510405, China
- 广州中医药大学第二附属医院中医证候全国重点实验室,广东 广州 510120State Key Laboratory of Traditional Chinese Medicine Syndrome, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510120, China
- 广东省中医院乳腺科,广东 广州 510120Department of Breast, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, China
- 广东省中医药科学院,广东 广州 510120Guangdong Academy of Traditional Chinese Medicine, Guangzhou 510120, China
| | - 慧 王
- 暨南大学中医学院,广东 广州 510632College of Traditional Chinese Medicine, Jinan University, Guangzhou 510632, China
| | - 大锦 皮
- 暨南大学中医学院,广东 广州 510632College of Traditional Chinese Medicine, Jinan University, Guangzhou 510632, China
| | - 前军 陈
- 广州中医药大学第二附属医院中医证候全国重点实验室,广东 广州 510120State Key Laboratory of Traditional Chinese Medicine Syndrome, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510120, China
- 广东省中医院乳腺科,广东 广州 510120Department of Breast, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, China
- 广东省中医药科学院,广东 广州 510120Guangdong Academy of Traditional Chinese Medicine, Guangzhou 510120, China
| | - 利国 陈
- 暨南大学中医学院,广东 广州 510632College of Traditional Chinese Medicine, Jinan University, Guangzhou 510632, China
| | - 丽珠 林
- 广州中医药大学第一附属医院肿瘤中心,广东 广州 510405Oncology Center, First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, China
| | - 明子 欧阳
- 暨南大学中医学院,广东 广州 510632College of Traditional Chinese Medicine, Jinan University, Guangzhou 510632, China
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